Graduated: 2014
NPI: 1326448333
Practice Locations (6)
1726 COLE BLVD, SUITE 250
LAKEWOOD, CO 804013262
125 OCEANA DR E, APT 2F
BROOKLYN, NY 112356692
16 ATLANTIC AVE, FL 2
LYNBROOK, NY 115633046
630 W 168TH ST, BOX 4
New York, NY 100323046
560 1ST AVE
NEW YORK, NY 100166402
630 W 168TH ST
NEW YORK, NY 100323795
Source: CMS National Downloadable File, September 2026.